26D1019234 CLIA NUMBER - BRANSON DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 26D1019234
  • Facility Name: BRANSON DIALYSIS LLC
  • Facility Address: 101 SKAGGS ROAD STE 301
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 334-8288
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN R. MARTINEZ
  • NPI Number: 1588701239
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1019234
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRANSON DIALYSIS LLC
Street 101 SKAGGS ROAD STE 301
City BRANSON
State MO
ZIP 65616
Phone 417 334-8288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN R. MARTINEZ

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This page was last updated on: 9/29/2025